Evaluation of containment measures’ effect on orthopaedic trauma surgery during the COVID-19 pandemic: a retrospective comparison between 2019 and 2020

Druel, Thibault; Andeol, Quentin; Rongièras, Frédéric; Bertani, Antoine; Bordes, Maxence; Alvernhe, Agathe

doi:10.1007/s00264-020-04712-9

Cited by 18 publications

(23 citation statements)

References 9 publications

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“…A reduction in trauma occurring secondary to RTCs was reported in the UK, 10 , 20 , 45 , 49 US 17, 26, 40, 51, 52, 55 , New Zealand, 12 Australia, 31 , 50 India, 53 , 57 Iran, 37 Hong Kong 58 and Europe. 13 , 19 , 22 , 36 , 59 , 60 These reductions reached statistical significance in Jacob et al‘s Australian centre (34% v 46%, p = 0.025), and Sherman et al‘s US centre (42% v 49%, p = 0.03). An increase in injuries from RTCs in children was reported by Bram et al in the US (5.2% v 1.8%) 11 and UK by Sugand et al (2% v 1%).…”

Section: Resultsmentioning

confidence: 86%

“…The reported proportion of patients undergoing operative management during the pandemic ranged from 1.4 to 90.4%. Reductions of between 18.9 and 44.2% were reported in centres in the UK, 54 , 66 US 11 , Europe 36 , 39 , 60 , 67 and Hong Kong. 58 However, increases in the proportion of patients managed operatively were noted in the UK, 10 Paris, 19 the US, 29 , 32 Australia 50 and India.…”

Section: Resultsmentioning

confidence: 97%

“…The mean age was reported for 3236 patients and was 43.7 years. 13 , 18 , 19 , 22 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 An average of 54.8% were male.…”

Section: Resultsmentioning

confidence: 99%

“…Of the cohort studies included, the prevalence of indoor trauma ranged from 14.9 to 54.95%. 36 , 63 , 64 A graphical summary of injuries occurring at home is shown in Fig. 3 .…”

Section: Resultsmentioning

confidence: 99%

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The global burden of trauma during the COVID-19 pandemic: A scoping review

Waseem

Nayar

Hull

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Purpose; The COVID-19 pandemic has necessitated profound adaptations in the delivery of healthcare to manage a rise in critically unwell patients. In an attempt to slow the spread of the virus nationwide lockdown restrictions were introduced. This review aims to scope the literature on the impact of the pandemic and subsequent lockdown on the presentation and management of trauma globally. Methods; A scoping review was conducted in accordance with PRISMA-ScR guidelines. A systematic search was carried out on the Medline, EMBASE and Cochrane databases to identify papers investigating presentation and management of trauma during the COVID-19 pandemic. All studies based on patients admitted with orthopaedic trauma during the COVID-19 pandemic were included. Exclusion criteria were opinion-based reports, reviews, studies that did not provide quantitative data and papers not in English. Results; Three hundred and thirty seven studies were screened, with 17 meeting the eligibility criteria. Studies reported on the footfall of trauma in the UK, Europe, Asia, USA, Australia and New Zealand. A total of 29,591 patients during the pandemic were considered. Mean age was 43.7 years (range <1–103); 54.8% were male. Reported reductions in trauma footfall ranged from 20.3% to 84.6%, with a higher proportion of trauma occurring secondary to interpersonal violence, deliberate self-harm and falls from a height. A decrease was seen in road traffic collisions, sports injuries and trauma occurring outdoors. There was no significant change in the proportion of patients managed operatively, and the number of trauma patients reported to be COVID-19 positive was low. Conclusion; Whilst the worldwide COVID-19 pandemic has caused a reduction in the number of trauma patients; the services managing trauma have continued to function despite infrastructural, personnel and pathway changes in health systems. The substantial effect of the COVID-19 pandemic on elective orthopaedics is well described, however the contents of this review evidence minimal change in the delivery of effective trauma care despite resource constraints during this global COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

“…Of the cohort studies included, the prevalence of indoor trauma ranged from 14.9 to 54.95%. 36 , 63 , 64 A graphical summary of injuries occurring at home is shown in Fig. 3 .…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The global burden of trauma during the COVID-19 pandemic: A scoping review

Waseem

Nayar

Hull

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…The medical profession was thrilled and faced in first line the changes of the society during the coronavirus crisis and pandemic. [ 1 , 2 , 3 , 4 , 5 , 6 ] The world experienced stupor and slowdown of major economic activities. Political and social regulations were imposed.…”

mentioning

confidence: 99%

Orthopaedic Surgery during COVID pandemic and consequent Changes in our professional environment

Scarlat

Mavrogenis

2020

International Orthopaedics (SICOT)

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The medical profession was thrilled and faced in first line the changes of the society during the coronavirus crisis and pandemic. [1,2,3,4,5,6] The world experienced stupor and slowdown of major economic activities. Political and social regulations were imposed. All medical specialties had to adapt and observations from our corresponding members and authors worldwide pointed out the changes in our ways of managing different medical conditions including emergency, trauma, transplantation [7] and tumor [8], cases that could not wait. The lockdown and changes in the workflow of medical centers created new challenges for the teams in all specialties, mainly in centers responsible for trauma or tumor and that were supposed to manage patients with unknown infection status. Anesthesiologists were at risk as they were supposed to act on the upper respiratory ways, intubate and ventilate cases with unknown viral charges. This resulted in casualties and morbidity by viral infection in several colleagues and some colleagues sadly and tragically lost their lives. The medical profession paid a high tribute to the pandemic with lethal cases and major stress exposure for the colleagues in the teams. [9,10,11] A special issue was released in August 2020 and included scientific reports from colleagues working in pandemic conditions [12]. All papers showed that the activity decreased, by one side because of the lockdown that kept industry and car traffic at the lowest rhythm but also because hospital regulations that imposed work shortages and security issues. Scheduled procedures were postponed but also "not life threatening trauma" resulting in unfair access

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Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

Migliorini

Weber

Pappalardo

et al. 2022

Eur J Trauma Emerg Surg

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Purpose This study investigated the impact of the Covid-19 pandemic in Europe on consultations, surgeries, and traumas in the field of orthopaedic and trauma surgery. Strategies to resume the clinical activities were also discussed. Methods This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the 2020 PRISMA statement. All the comparative studies reporting data on the impact of Covid-19 in the field of orthopaedic and trauma surgery in Europe were accessed. Only comparative clinical studies which investigated the year 2020 versus 2019 were eligible. Results 57 clinical investigations were included in the present study. Eight studies reported a reduction of the orthopaedic consultations, which decreased between 20.9 and 90.1%. Seven studies reported the number of emergency and trauma consultations, which were decreased between 37.7 and 74.2%. Fifteen studies reported information with regard to the reasons for orthopaedic and trauma admissions. The number of polytraumas decreased between 5.6 and 77.1%, fractures between 3.9 and 63.1%. Traffic accidents admissions dropped by up to 88.9%, and sports-related injuries dropped in a range of 59.3% to 100%. The overall reduction of the surgical interventions ranged from 5.4 to 88.8%. Conclusion The overall trend of consultations, surgeries, and rate of traumas and fragility fractures appear to decrease during the 2020 European COVID pandemic compared to the pre-pandemic era. Given the heterogeneities in the clinical evidence, results from the present study should be considered carefully. Level of evidence Level IV, systematic review.

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Evaluation of containment measures’ effect on orthopaedic trauma surgery during the COVID-19 pandemic: a retrospective comparison between 2019 and 2020

Cited by 18 publications

References 9 publications

The global burden of trauma during the COVID-19 pandemic: A scoping review

The global burden of trauma during the COVID-19 pandemic: A scoping review

Orthopaedic Surgery during COVID pandemic and consequent Changes in our professional environment

Orthopaedic, trauma surgery, and Covid-2019 pandemic: clinical panorama and future prospective in Europe

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